| NPI | 1114430535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P161191849) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60746180) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-03-07 |